# PERFORMANCE 21 PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578336822
- **Authorized official:** DR. RYAN MATTHEW KNUCKLES DPT (CEO/FOUNDER)
- **Authorized official phone:** (314) 330-3002

## Contact information

- **Practice address:** 1311 WOODSIDE DR, ARNOLD, MO 63010-6500
- **Practice address phone:** (314) 330-3002
- **Practice address fax:** (833) 672-3141
- **Mailing address:** 1311 WOODSIDE DR, ARNOLD, MO 63010-6500
- **Mailing address phone:** (314) 330-3002
- **Mailing address fax:** (833) 672-3141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2023
- **Last updated:** 11/17/2023